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PROSPECT MEDICAL GROUP
NPI 1114198504
Specialist in Syosset, NY

Active since March 13, 2008
15 WOODCREST DR, SYOSSET, NY 11791(718) 613-4442 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prospect Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPECT MEDICAL GROUP (NPI 1114198504) is a healthcare organization registered as a specialist in Syosset, New York and active in the NPI registry since March 2008. The organization lists Darin Dunn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1114198504
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePROSPECT MEDICAL GROUP
Location Address15 WOODCREST DRSyosset, NY 11791-3036
Mailing Address555 Prospect PlBrooklyn, NY 11238-4266 · (718) 613-4442
Phone(718) 613-4442
Organization SubpartNo
Authorized OfficialDarin DunnPractice Manager · (718) 613-4442
Enumeration DateMarch 13, 2008
Last NPPES UpdateMarch 24, 2008
✔ NPI 1114198504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15 WOODCREST DR, Syosset, NY 11791
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Other Identifiers 1

Medicare PINW01401NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEDFORD CENTER LLC
Specialist
15 WOODCREST DR
SYOSSET, NY 11791
Nassau County (718) 552-2070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prospect Medical Group's NPI number?

The NPI number for Prospect Medical Group is 1114198504. It was assigned to this organization in the NPPES registry on March 13, 2008.

Where is Prospect Medical Group located?

Prospect Medical Group is located at 15 Woodcrest Dr, Syosset, NY 11791. The listed phone number is (718) 613-4442.

What is Prospect Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Prospect Medical Group was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.